Skilled nursing facility · CMS certification number 145510
AVANTARA LINCOLN PARK
CHICAGO, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 248
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $39,611,871 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,738,240 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $25,873,631 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $25,345,032 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $528,599 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,605 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $577,204 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $577,204 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 90,768 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,751 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 59,767 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 12,801 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 77,319 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 131 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 193 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 766 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 1,090 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 309.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1445184, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 6 October 2023 to 31 December 2023 — a reporting period of 86 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 January 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,334,616 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,053,677 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,280,939 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,500,333 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$219,394 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$219,394 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$219,394 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,079 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 198 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 484.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 86.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402321, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 January 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,179,324 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,170,119 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,009,205 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,304,505 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,295,300 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,101,024 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,194,276 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,357,166 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 70,013 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 567 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 163.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 123.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1372377, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 12 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,340,009 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,334,777 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,005,232 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,997,558 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,992,326 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $667,666 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,324,660 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,491,292 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 70,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 758 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 166.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364477, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 July 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,267,666 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,830,903 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,436,763 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,019,335 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,582,572 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,571,375 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,011,197 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,093,763 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 71,609 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 835 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 131.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327112, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 December 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,333,845 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,578,524 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,755,321 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,833,861 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,078,540 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,346 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,054,194 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,150,186 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 81,888 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 903 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 145.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307316, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 October 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,893,976 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,746,637 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,147,339 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $26,361,573 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,214,234 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,326 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,167,908 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,229,259 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 80,050 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 763 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 153.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1271884, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 2 June 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,159,119 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,273,729 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $20,885,390 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,341,570 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,456,180 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,012 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,444,168 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,444,168 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 77,314 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 879 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 511.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1256584, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $29,945,045 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,298,557 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,646,488 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $24,320,116 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$673,628 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,606 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$659,022 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$659,022 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 82,471 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 990 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242418, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 November 2015 to 31 December 2015 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 28 September 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,003,802 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $995,240 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,008,562 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,932,533 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $76,029 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $76,029 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $76,029 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 943.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1176490, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 November 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $33,056,860 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,727,052 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $23,329,808 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $23,231,424 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $98,384 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $96,287 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $194,671 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $194,671 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 83,097 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 751 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 954.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1146885, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,985,044 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,497,712 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,487,332 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $22,747,401 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$260,069 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$77,136 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$77,136 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 82,452 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 715 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 665.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105052, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 December 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,346,280 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,951,817 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,394,463 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,678,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $716,256 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $51,520 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $767,776 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $767,776 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 84,518 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 792 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 584.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081439, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,763,282 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,967,409 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,795,873 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,771,944 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,976,071 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,137 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$4,961,934 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$4,961,934 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 84,807 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 756 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 208.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1032647, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,771,977 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,700,977 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $2,071,000 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $92,210 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $2,163,210 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 88,049 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 643 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.16 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 341.59 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423604, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 28 June 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $19,307,756 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,867,139 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,440,617 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $68,265 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,508,882 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 88,080 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 790 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 158.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 111.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 378745, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 20 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $18,226,674 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,725,631 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,501,043 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $95,200 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,596,243 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 88,903 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 361 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,612.45 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 246.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367744, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 June 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,739,073 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,186,692 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $552,381 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $59,886 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $612,267 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 89,147 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 736 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 244.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 121.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 346316, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $16,018,011 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,597,703 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $420,308 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $102,802 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $523,110 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 84,864 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 709 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 190.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306177, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 16 November 2006.
None of these figures is carried on this report.
CMS report record 266574, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 9 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,548,786 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,835,826 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$287,040 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,253 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$258,787 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 86,612 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 672 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 442.21 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 128.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230277, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,083,213 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,641,809 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$558,596 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,113 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$513,483 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 84,946 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 916 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 330.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 92.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 191084, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $13,105,043 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,591,609 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $513,434 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $61,857 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $575,291 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 84,878 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 886 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 187.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 95.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 192937, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 24 February 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,470,096 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,872,029 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $598,067 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $78,165 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $676,232 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 85,148 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 882 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.18 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 247.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169507, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,624,300 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,116,108 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$491,808 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $81,749 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$410,059 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 80,506 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 909 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 222.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 88.57 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85805, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,514,160 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,840,319 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$326,159 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $69,655 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$256,504 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 78,151 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 727 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 212.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85803, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,299,885 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,790,787 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $509,098 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $91,470 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $600,568 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 82,277 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 900 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 238.12 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 91.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85801, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 September 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,318,510 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,515,923 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $802,587 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,516 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $812,103 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 82,412 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 732 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 153.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 112.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85799, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 May 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,600,967 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,016,272 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $584,695 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,941 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $645,636 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 248 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 82,433 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 789 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 161.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 104.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 85798, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 26% | since 10/06/2023 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 60% | since 10/06/2023 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | since 10/06/2023 |
| CIBC BANK USA | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 10/31/2025 |
| FULLERTON SNF PROPERTY HOLDINGS LLC | 5% OR GREATER SECURITY INTEREST | Organization | NOT APPLICABLE | since 10/06/2023 |
| DIHIANSAN, LOUISE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/06/2023 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/06/2023 |
| FULLERTON SNF PROPERTY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/06/2023 |
| GPN FAMILY TRUST U/A/D 4/28/08 | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/06/2023 |
| IYENGAR, RAJESH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/06/2023 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/11/2025 |
| ROTH & CO, LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/06/2023 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/06/2023 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/06/2023 |
| CIBC BANK USA | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/31/2025 |
| DIHIANSAN, LOUISE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/06/2023 |
| IYENGAR, RAJESH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/06/2023 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/06/2023 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/06/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of FULLERTON SKILLED NURSING FACILITY LLC (enrollment ID O20231205000802).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25.5 | 10/6/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 59.5 | 10/6/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| OAKWAY OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15 | 10/6/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| CIBC BANK USA | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 10/31/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| FULLERTON SNF PROPERTY HOLDINGS LLC | Organization | 5% OR GREATER SECURITY INTEREST | 100 | 10/6/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| FULLERTON SNF PROPERTY HOLDINGS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/11/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LOUISE DIHIANSAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MENACHEM SHABAT | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RAJESH IYENGAR | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROTH & CO, LLP | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | INDIRECT OWNERSHIP INTEREST | 2.6 | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | INDIRECT OWNERSHIP INTEREST | 4.9 | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Individual | INDIRECT OWNERSHIP INTEREST | 2.6 | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MENACHEM SHABAT | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CIBC BANK USA | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/31/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| LOUISE DIHIANSAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MENACHEM SHABAT | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RAJESH IYENGAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/6/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: CHAIM Z RAJCHENBACH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MENACHEM SHABAT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LOUISE DIHIANSAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CIBC BANK USA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CIBC BANK USA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GPN FAM TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAJESH IYENGAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAJESH IYENGAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROTH & COMPANY, LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MENACHEM SHABAT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FULLERTON SNF PROPERTY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FULLERTON SNF PROPERTY HOLDINGS LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LOUISE DIHIANSAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LOUISE DIHIANSAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 3 June 2024: MARK HARTMAN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MARK HARTMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MIDCAP FUNDING IV TRUST no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DRAKE LOUIS ENTERPRISE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DRAKE LOUIS ENTERPRISE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: SPS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: SYM3CHICAGO MASTER TENANT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAVID HARTMAN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAVID HARTMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAVID HARTMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAVID HARTMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: INVESQUE HOLDINGS LP no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: WILLOW DELTA TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: CRAIG FRANK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: FAIRHOME TRUST UAD 12312012 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: BENOIT HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DOROS GENERATION TRUST U/A/D 1/3/12 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: OAKWAY OPERATIONS LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: GPN FAMILY TRUST U/A/D 04/28/08 appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: CHAIM Z RAJCHENBACH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MENACHEM SHABAT appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: LOUISE DIHIANSAN appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
Recent changes on this record
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 January 2026: CHAIM Z RAJCHENBACH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MENACHEM SHABAT no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LOUISE DIHIANSAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CIBC BANK USA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: CIBC BANK USA appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: DOROS GENERATION TRUST U/A/D 1/3/12 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LEGACY HEALTHCARE FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: GPN FAM TR UA 04282008 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAJESH IYENGAR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: RAJESH IYENGAR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: ROTH & COMPANY, LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MENACHEM SHABAT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MENACHEM SHABAT appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: MENACHEM SHABAT appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FULLERTON SNF PROPERTY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: FULLERTON SNF PROPERTY HOLDINGS LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LOUISE DIHIANSAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: LOUISE DIHIANSAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 1 January 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- 22 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 16 January 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2024.zip
- 10 December 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 3 June 2024: MARK HARTMAN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MARK HARTMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: MIDCAP FUNDING IV TRUST no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DRAKE LOUIS ENTERPRISE, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DRAKE LOUIS ENTERPRISE, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: SPS I LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: SYM3CHICAGO MASTER TENANT LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAVID HARTMAN no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAVID HARTMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAVID HARTMAN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: DAVID HARTMAN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: INVESQUE HOLDINGS LP no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: WILLOW DELTA TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: CRAIG FRANK no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- 3 June 2024: FAIRHOME TRUST UAD 12312012 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 7 June 2024 | 7 June 2024 | 18 | 4 |
| 2 | 28 April 2023 | 28 April 2023 | 16 | 14 |
| 3 | 20 May 2022 | 20 May 2022 | 24 | 15 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
58 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 21 May 2026 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | 10 June 2026 |
| 21 May 2026 | Health | F 0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Yes | Deficient, Provider has date of correction | 10 June 2026 |
| 21 May 2026 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 12 June 2026 |
| 29 March 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 15 April 2026 |
| 31 December 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 22 January 2026 |
| 31 December 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 22 January 2026 |
| 7 September 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 26 September 2025 |
| 29 August 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 7 November 2025 |
| 28 May 2025 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Yes | Deficient, Provider has date of correction | 9 June 2025 |
| 23 April 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | Yes | Deficient, Provider has date of correction | 14 May 2025 |
| 3 February 2025 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Yes | Deficient, Provider has date of correction | 21 February 2025 |
| 3 February 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 21 February 2025 |
| 3 February 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | 21 February 2025 |
| 3 February 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | 21 February 2025 |
| 3 February 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Yes | Deficient, Provider has date of correction | 21 February 2025 |
| 14 November 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | F | Yes | Deficient, Provider has date of correction | 6 December 2024 |
| 12 July 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 22 July 2024 |
| 26 June 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | 1 July 2024 |
| 7 June 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Yes | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 27 June 2024 |
| 7 June 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 27 June 2024 |
| 19 April 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Deficient, Provider has date of correction | 7 May 2024 |
| 19 April 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | 7 May 2024 |
| 19 April 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | 7 May 2024 |
| 19 April 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | 7 May 2024 |
| 16 November 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | 13 December 2023 |
| 13 October 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | 3 November 2023 |
| 28 April 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 10 May 2023 |
| 28 April 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 10 May 2023 |
| 28 April 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | No | Deficient, Provider has date of correction | 10 May 2023 |
| 28 April 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 10 May 2023 |
| 28 April 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 10 May 2023 |
| 28 April 2023 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | F | No | Deficient, Provider has date of correction | 10 May 2023 |
| 28 April 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 10 May 2023 |
| 28 April 2023 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | 10 May 2023 |
| 20 May 2022 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0678 | Quality of Life and Care Deficiencies | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0800 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0888 | Infection Control Deficiencies | Ensure staff are vaccinated for COVID-19 | E | No | Deficient, Provider has date of correction | 13 June 2022 |
| 20 May 2022 | Health | F 0914 | Environmental Deficiencies | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | No | Deficient, Provider has date of correction | 13 June 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| 21 May 2026 | Fine | $57,855 | 140310 | ||
| 31 December 2025 | Fine | $46,560 | 138925 | ||
| 23 April 2025 | Fine | $54,665 | 70531 | ||
| 19 April 2024 | Fine | $43,368 | 69701 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | FULLERTON SKILLED NURSING FACILITY LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1984-09-25 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Cook |
| Telephone Number | 7732489300 |
| Chain Name | LEGACY HEALTHCARE |
| Chain ID | 306 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 248 |
| Average Number of Residents per Day | 223.2 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on AVANTARA LINCOLN PARK: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
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The citable document for AVANTARA LINCOLN PARK
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Illinois at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 145510.